London Neurologist

Neuromuscular Disease Specialist

Neuromuscular diseases (NMD) encompass more than 100 different conditions that affect the peripheral nerves, neuromuscular junction, or muscles themselves. These diseases can either be genetic or acquired throughout life. Acquired forms of NMD may be caused by autoimmune disorders, nutritional deficiencies, toxins (such as alcohol), or premature aging, also known as degeneration.

The symptoms of NMD can vary greatly and may include fatigue, muscle weakness, wasting, cramps, difficulty swallowing, slurred speech, breathlessness, double vision, drooping eyelids, muscle twitching, tingling, weak neck, difficulty walking, struggling with stairs or getting out of low chairs, and in some cases, episodic muscle paralysis.

Symptoms of NMD can include:

  • Muscle weakness
  • Stiff joints
  • Loss of control over your muscles
  • Twitches, spasms, or cramps (myoclonus)
  • Muscle pain (myalgia)
  • Difficulty swallowing
  • Difficulty breathing
  • General fatigue
  • Changes to your facial expressions or appearance
  • Drooping eyelids or double vision

Examples of NMD include peripheral neuropathies, motor neuron diseases such as ALS (Amyotrophic Lateral Sclerosis), myasthenia gravis, myositis, muscular dystrophies, myopathies, inclusion body myositis, mitochondrial diseases, and channelopathies.

Suspect You Have A Neuromuscular Disorder?

If you suspect that you may have a neuromuscular disorder and require a neurology assessment, Professor Michael Hanna is an internationally recognised neuromuscular disease specialist. With extensive experience and over 400 research papers published on neurological subjects, including neuromuscular diseases, mitochondrial diseases, channelopathies, inclusion body myositis, myasthenia gravis, and motor neuron disease, Prof. Hanna can provide expert guidance and care.

Neuromuscular Consultation

During a consultation with Professor Hanna, he will conduct a comprehensive evaluation and work closely with patients to develop a personalised treatment plan. His expertise in neuromuscular diseases ensures that individuals receive the highest standard of care and support.

Diagnosing Neuromuscular Disorders

Diagnosing a neuromuscular disorder involves a thorough evaluation that may include a combination of medical history review, physical examination, laboratory tests, and specialised diagnostic procedures. These procedures can range from electromyography (EMG) and nerve conduction studies to muscle biopsies or genetic testing.

Neuromuscular Disorder Treatment

Treating neuromuscular disorders requires a multidisciplinary approach, encompassing various treatment strategies and interventions. Professor Michael Hanna and his team employ a comprehensive treatment approach that may include:

  • Drug Therapy: Medications can be prescribed to manage symptoms, slow disease progression, or modify the underlying condition in some cases.
  • Referrals to Appropriate Specialists: As part of the multidisciplinary approach, referrals to other specialists, such as physiotherapists, occupational therapists, speech therapists, and nutritionists, may be recommended to address specific needs and optimise overall care.
  • Patient and Family Education and Counseling: Education and counseling play an essential role in empowering patients and their families to better understand the condition, manage symptoms, make informed decisions, and cope with the emotional and practical aspects of living with a neuromuscular disorder.

Michael Hanna

Professor Michael G. Hanna is a neurologist with extensive expertise in neuromuscular disorders. He graduated with honors from Manchester University, where he received his undergraduate training in Medical Biochemistry and Medicine. He later underwent postgraduate medical and neurological training at prestigious institutions such as the John Radcliffe Hospital in Oxford and the National Hospital for Neurology and Neurosurgery in Queen Square, London. With over 400 published research articles, books, and book chapters, Professor Michael Hanna is a leading figure in the field of neuromuscular disorders and continues to make significant contributions to the advancement of patient care and research in this field.

Appointments and More Information

If you are concerned about your health and believe that you may need a neurology assessment, consultations with neuromuscular disease specialist Prof Hanna can be arranged via the NHS or privately.

NHS Appointments

A letter of referral is required from your GP or NHS Practitioner. Referrals should be sent to my NHS Office.

NHS Office Address:
Centre for Neuromuscular Diseases
The National Hospital for Neurology and Neurosurgery
Queen Square
NHS Office Enquiries
Tel: 020 3448 8014/8251
Fax: 020 3448 3633

Private Appointments:

A letter of referral may be required for private patients who have Private Medical Insurance (PMI). Self-paying patients can self-refer.

Private Office Address:
The Private Consulting Rooms
The National Hospital for Neurology and Neurosurgery
Queen Square
Private Office Appointments and Enquiries
Tel: 020 3448 8935
Fax: 020 3448 8816